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Medication Adherence APR.pptx

Medication Adherence- Introduction Definition Causes of medication non-adherence Pharmacist role in the medication adherence Monitoring of patient medication adherence.

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Medication Adherence
Mr. Ravinandan A P
Asst. Prof.
Department of Pharmacy Practice
Sree Siddaganga College of Pharmacy
Tumkur, Karnataka
Presentation Outlines…………………….
1.Introduction
2.Definition
3.Causes of medication non-adherence
4.Pharmacist role in the medication adherence
5.Monitoring of patient medication adherence.
Introduction
• It is one of the most important factors that determine therapeutic
outcomes especially patients suffering from chronic diseases or
disorders.
• Whatever the efficacy of a drug, it can’t act unless the patient takes
it.
• Approximately 50% of patients do not take medications as prescribed
Definition
•Medication adherence is defined by the World Health
Organization as "the degree to which the person’s
behavior corresponds with the agreed
recommendations from a health care provider."
Medication Adherence APR.pptx
• Timely and continuous use of prescription medicines as
recommended by a healthcare provider is key to effective
disease management, particularly for chronic conditions.
• Yet, medicines are frequently not used as directed, leading to
poor clinical outcomes, avoidable health care costs, and lost
productivity.
• Closing the adherence gap can improve the quality of healthcare,
encourage better chronic care management, and promote better
patient outcomes.
•Medication adherence is not exclusively the
responsibility of the patient
•Increasing adherence may have a greater effect
on health than improvements in specific medical
therapy
•Medication-taking behavior is complex and
involves patient, physician, and process
components
•Identification of nonadherence is challenging
and requires specific interviewing skills
Medication Adherence APR.pptx
Causes of medication non-adherence
1. Fear
2. Cost
3. Misunderstanding
4. Forgetfulness
5. Adverse drug reactions
6. Too many medications
7. Lack of symptoms
8. Mistrust
9. Worry
10. Depression
Causes of medication non-adherence
• Fear: Patients may be frightened of potential side
effects. They may have also experienced previous side
effects with the same or similar medicine
• Cost : A major barrier to adherence is often the cost of
the medicine prescribed to the patient. The high cost may
lead to patients not filling their medications in the first
place.
• Misunderstanding: Nonadherence can also happen
when a patient does not understand the need for the
medicine, the nature of side effects or the time it takes to
• Too many medications: When a patient has several
different medicines prescribed with higher dosing frequency,
the chances that they are nonadherent increase. Physicians
can try to simplify a patient’s dosing schedule by adjusting
medicines so they can be taken at the same time of day.
• Lack of symptoms: As stated above, nonadherence might
occur when there is a lack of symptoms. Patients who don’t
feel any different when they start or stop their medicine might
see no reason to take it.
• Mistrust: There has been news coverage of marketing efforts
by pharmaceutical companies influencing physician prescribing
patterns. This ongoing mistrust can cause patients to be
suspicious of their doctor’s motives for prescribing certain
medications.
•Worry: If a patient is concerned about becoming dependent
on a medicine, it can also lead to nonadherence. One way to
overcome this is to improve patient-physician communication.
•Depression: Patients who are depressed are less likely to
take their medications as prescribed.
Medication Adherence APR.pptx
Pharmacist role in the medication adherence
• Pharmacists have a major role in improving medication
adherence in patients.
• They can confirm that patients are on the correct medications
and are not taking any other treatments/drugs that may
undermine the effectiveness of important therapies.
• They can educate patients about suitable pharmacy apps to
set medication reminders on their phones.
Here are 5 recommendations for ways in which
pharmacists can help patients better adhere to their
treatment regimen:
1. Suggest patients only use 1 pharmacy
2. Recommend the use of pill dispensers or
reminders
3. Discuss the option of early refills whenever
possible
4. Encourage patients to keep a medication
list
5. Give yearly “brown bag” medication
reviews
Medication Adherence APR.pptx
Monitoring (methods to detect) of patient
medication adherence
• Measure of Blood pressure or urine levels of drugs
Direct objectives
• Pill count
• Prescription refill
Indirect objective
• Assessing therapeutic efficacy ex. BP
Health outcome
measures
• Clinical attendance
• Appointment making and keeping
Utilization of health care
services
• Methods of questionable reliability
• Patient interviews
• Dairy keeping
Indirect (Subjective)
Thank you

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Medication Adherence APR.pptx

  • 1. Medication Adherence Mr. Ravinandan A P Asst. Prof. Department of Pharmacy Practice Sree Siddaganga College of Pharmacy Tumkur, Karnataka
  • 2. Presentation Outlines……………………. 1.Introduction 2.Definition 3.Causes of medication non-adherence 4.Pharmacist role in the medication adherence 5.Monitoring of patient medication adherence.
  • 3. Introduction • It is one of the most important factors that determine therapeutic outcomes especially patients suffering from chronic diseases or disorders. • Whatever the efficacy of a drug, it can’t act unless the patient takes it. • Approximately 50% of patients do not take medications as prescribed
  • 4. Definition •Medication adherence is defined by the World Health Organization as "the degree to which the person’s behavior corresponds with the agreed recommendations from a health care provider."
  • 6. • Timely and continuous use of prescription medicines as recommended by a healthcare provider is key to effective disease management, particularly for chronic conditions. • Yet, medicines are frequently not used as directed, leading to poor clinical outcomes, avoidable health care costs, and lost productivity. • Closing the adherence gap can improve the quality of healthcare, encourage better chronic care management, and promote better patient outcomes.
  • 7. •Medication adherence is not exclusively the responsibility of the patient •Increasing adherence may have a greater effect on health than improvements in specific medical therapy •Medication-taking behavior is complex and involves patient, physician, and process components •Identification of nonadherence is challenging and requires specific interviewing skills
  • 9. Causes of medication non-adherence 1. Fear 2. Cost 3. Misunderstanding 4. Forgetfulness 5. Adverse drug reactions 6. Too many medications 7. Lack of symptoms 8. Mistrust 9. Worry 10. Depression
  • 10. Causes of medication non-adherence • Fear: Patients may be frightened of potential side effects. They may have also experienced previous side effects with the same or similar medicine • Cost : A major barrier to adherence is often the cost of the medicine prescribed to the patient. The high cost may lead to patients not filling their medications in the first place. • Misunderstanding: Nonadherence can also happen when a patient does not understand the need for the medicine, the nature of side effects or the time it takes to
  • 11. • Too many medications: When a patient has several different medicines prescribed with higher dosing frequency, the chances that they are nonadherent increase. Physicians can try to simplify a patient’s dosing schedule by adjusting medicines so they can be taken at the same time of day. • Lack of symptoms: As stated above, nonadherence might occur when there is a lack of symptoms. Patients who don’t feel any different when they start or stop their medicine might see no reason to take it. • Mistrust: There has been news coverage of marketing efforts by pharmaceutical companies influencing physician prescribing patterns. This ongoing mistrust can cause patients to be suspicious of their doctor’s motives for prescribing certain medications.
  • 12. •Worry: If a patient is concerned about becoming dependent on a medicine, it can also lead to nonadherence. One way to overcome this is to improve patient-physician communication. •Depression: Patients who are depressed are less likely to take their medications as prescribed.
  • 14. Pharmacist role in the medication adherence • Pharmacists have a major role in improving medication adherence in patients. • They can confirm that patients are on the correct medications and are not taking any other treatments/drugs that may undermine the effectiveness of important therapies. • They can educate patients about suitable pharmacy apps to set medication reminders on their phones.
  • 15. Here are 5 recommendations for ways in which pharmacists can help patients better adhere to their treatment regimen: 1. Suggest patients only use 1 pharmacy 2. Recommend the use of pill dispensers or reminders 3. Discuss the option of early refills whenever possible 4. Encourage patients to keep a medication list 5. Give yearly “brown bag” medication reviews
  • 17. Monitoring (methods to detect) of patient medication adherence • Measure of Blood pressure or urine levels of drugs Direct objectives • Pill count • Prescription refill Indirect objective • Assessing therapeutic efficacy ex. BP Health outcome measures • Clinical attendance • Appointment making and keeping Utilization of health care services • Methods of questionable reliability • Patient interviews • Dairy keeping Indirect (Subjective)